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Contra Costa County Youth Summit Registration - 2014
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If you would like to participate in Supervisor Federal D. Glover's May 3, 2014, Contra Costa County Youth Summit at Los Medanos College, 2700 E Leland Road, Pittsburg California 94565 from 8:00 a.m. - 3:00p.m. please provide the following information.
Cell Phone Number:
Office Phone Number:
How would you like to be involved with the youth summit? Please check all that apply.
Lunch Time Activities
Donation/ Raffle Item
Name of proposed workshop or type of entertainment:
Give a brief description of workshop/entertainment
Upload additional files if available:
Convert to PDF?
(GIF, JPG, JPEG, PNG, DOC, DOCX, XLS, XLSX, TXT)
If applicable provide link to information:
What is the necessary duration for your workshop?
1 workshop (45 minutes)
2 combined workshops (1hour 30 min)
What is the duration of your performance?
What is the attendance limitation for your workshop:
What do you need provided to perform your service/workshop?
No assistance necessary
Information table for lunchtime
Has there been participation in one of Supervisor Glover's Youth Summits in the past?
No Prior Participation
If applicable what was the prior workshop name/type of entertainment/topic of speech:
Suggestions for future events:
* indicates required fields.
Board of Supervisors
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